Provider Demographics
NPI:1801923925
Name:SCHMIDT, NIKOLINA V (PT)
Entity type:Individual
Prefix:MS
First Name:NIKOLINA
Middle Name:V
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5400 SHAMROPS DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1552
Mailing Address - Country:US
Mailing Address - Phone:504-456-1563
Mailing Address - Fax:504-456-1563
Practice Address - Street 1:5400 SHAMROPS DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1552
Practice Address - Country:US
Practice Address - Phone:504-456-1563
Practice Address - Fax:504-456-1563
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA00204R2251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology